GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC
NPI: 1770869968
· GERMANTOWN, MD 20874
· 1223G0001X
$3.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
10,720 |
$397K |
| 2019 |
11,900 |
$402K |
| 2020 |
8,206 |
$258K |
| 2021 |
11,602 |
$388K |
| 2022 |
13,529 |
$473K |
| 2023 |
16,835 |
$634K |
| 2024 |
19,095 |
$801K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
15,565 |
15,311 |
$678K |
| D1351 |
|
14,019 |
3,804 |
$485K |
| D0120 |
|
13,862 |
13,654 |
$409K |
| D7140 |
|
2,206 |
1,382 |
$241K |
| D2392 |
|
1,858 |
1,154 |
$233K |
| D1208 |
|
10,029 |
9,856 |
$229K |
| D2930 |
|
1,375 |
701 |
$219K |
| D1206 |
|
7,479 |
7,367 |
$184K |
| D2391 |
|
1,318 |
929 |
$131K |
| D0150 |
|
2,104 |
2,073 |
$111K |
| D0330 |
|
2,487 |
2,447 |
$106K |
| D1110 |
|
1,178 |
1,163 |
$74K |
| D0272 |
|
4,374 |
4,305 |
$67K |
| D1330 |
|
8,793 |
8,653 |
$55K |
| D0140 |
|
1,212 |
1,183 |
$54K |
| D0274 |
|
1,012 |
995 |
$23K |
| D0240 |
|
789 |
768 |
$13K |
| D3120 |
|
280 |
192 |
$10K |
| D9230 |
|
523 |
448 |
$10K |
| D7111 |
|
252 |
178 |
$7K |
| D0220 |
|
605 |
593 |
$6K |
| D1354 |
|
479 |
173 |
$5K |
| D9944 |
|
13 |
13 |
$2K |
| D0230 |
|
75 |
75 |
$1K |